Abstract:
Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy presenting with a reduction in left ventricular systolic function towards the end of pregnancy or in the months after delivery. It is a life-threatening condition with a substantial mortality rate ranging from six to 25%, commonly due to heart failure or sudden cardiac death. Pregnancy is a prothrombotic state. Due to poor systolic function, women with PPCM are prone to intracardiac thrombi and a high risk of thromboembolic events. Early diagnosis with echocardiography and treatment plays a critical role. We describe a case of a woman with PPCM and biventricular thrombi, with the aim of creating awareness for early echocardiographic screening for thrombi and appropriate implementation of care.
摘要:
围产期心肌病(PPCM)是一种特发性心肌病,在妊娠末期或分娩后数月表现为左心室收缩功能降低。这是一种危及生命的疾病,死亡率从6%到25%不等,通常是由于心力衰竭或心源性猝死。怀孕是一种血栓前状态。由于心脏收缩功能差,PPCM患者容易发生心内血栓和血栓栓塞事件的高风险.超声心动图的早期诊断和治疗起着至关重要的作用。我们描述了一个女性患有PPCM和双心室血栓的病例,目的是提高人们对早期超声心动图筛查血栓和适当实施护理的认识。